Your pledge is payable over three years. Please indicate your payment schedule:

          One-time payment of to be paid (month/year)

          Semi-annual payment of $
             The Medical Center Foundation can expect to receive my semi-annual payment in    
              the months of and

          Annual payments of $
              The Medical Center Foundation can expect to receive my annual payments in
               the month of  over the next one   two   three years.

As a measure of my commitment, I hereby pronounce my intent to contribute to The Medical Center Foundation. Provisions will be made in my/our estate plan
to fulfill my/our pledge if necessary.